The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

METHODIST DALLAS MEDICAL CENTER 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203 May 16, 2017
VIOLATION: IMPLEMENTATION OF A DISCHARGE PLAN Tag No: A0820
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record and interview the hospital failed to arrange for the initial implementation of the patient's discharge plan for each patient, in that 1 of 1(Patient #1) patient's discharge plan was not implemented prior to the patient being discharged from the hospital.

Findings Included:

Patient #1 was admitted on [DATE] for an Acute Stroke. On 12/22/16 Physical Therapy recommended discharge to an inpatient rehabilitation facility. Patient #1 was discharged on [DATE] with a list of places to buy a wheelchair. Discharge planning did not evidence any attempts to place patient in an inpatient rehabilitation facility, a skilled nursing facility, or an attempt to set up home health care.

During on interview on 05/16/17 at 1645 Personnel #4 stated the case manager responsible for the discharge planning on Patient #1 believed Patient #1 was on an indigent care program. Personnel #4 stated the hospital maintains a list of home health agencies that will accept indigent patients. Personnel #4 agreed there was not an implementation of the patients discharge plan.

The policy titled Discharge Planning dated 07/19/16 reflected..."The hospital shall arrange for the initial implementation of the discharge plan. This includes arranging for necessary post-hospital services and care..."